Table 2.

HIV and HCV Testing and Positivity Rates of PWUD Admitted to 11 Hospitals and Hospital Systems (January 2020 to April 2022)

Region Hospital/State	No. of PWUD Admissions	HIV Testing Completed, %	(+) HIV Test, %	HCV AB Completed, %	HCV VL Completed, %	(+) HCV Test, %	Verbal Consent Required	Opt-Out HIV Testing	Reflex HCV VL From AB Testing
Midwest
Barnes Jewish Hospital, MO	5242	41	5.6	44	16	24	No	Yes	Yes
University of Chicago, IL	760	59	3.8	21	6.4	32	Noa	Yes	Yes
Northeast
Montefiore Medical Center, NY	10 667	17	4.3	17	9.0	32	Nob	No	Yes
Tufts Medical Center, MA	2217	24	NA	22	7.5	61	Yes	No	No
UVM Medical Center, VT	2434	15	0.0	20	NA	52	Yes	Yes	Yes
Maine Medical Center, ME	1254	9.6	0.0	15c	NAc	42c	Yes	No	Yesd
Yale-New Haven Health, CTe	3428	35	5.5	37	NA	65	No	Yes	Yes
West
San Fran. General Hospital, CA	3918	78	3.6	49	11	17	Yes	Yes	No
UCHealth, CO	27 985	72	1.9	55	NA	28	No	No	No
South
UAB Medicine, AL	6913	53	NA	50	22	NA	Yesa	Yes	Yes
Parkland Hospital, TXe	458	38	1.7	18	11	62	Noa	No	No
	Mean	40	2.9	32	10	41
	(SD)	23	2.1	15	6.7	19

Source: Authors’ analysis of data from host institutions.

Abbreviations: AB, antibody; HCV, hepatitis C virus; PWUD, people who use drugs; VL, viral load.

^aHIV test consent is in initial treatment plans; patients are notified and can refuse.

^bFacilities require consent, even if not oral/written. NY requires notification of HIV testing with the opportunity to decline.

^cHCV AB test rates apply hospital-wide, except Maine Medical Center: antibody or viral load.

^dAble to be ordered but not always ordered.

^eData sets from hospitalized addiction consultation patients.